Individual
ALLISON JANELLE WILDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 634-2620
(573) 634-2033
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020008343
MO
207RR0500X
Rheumatology Physician
Primary
2020008343
MO
Other
Enumeration date
04/30/2014
Last updated
07/05/2024
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